Was TMs heparin order within the safe daily dosage range?TM, 57 year old man, has thrombophlebitis in the right lower leg IV heparin 5000 units by bolus, was given subcutaneously every 6 hours was prescribed.
TM, 57 year old man, has thrombophlebitis in the right lower leg IV heparin 5000 units by bolus, was given subcutaneously every 6 hours was prescribed. Other therapeutic means to decrease pain and alleviate swelling and redness were also prescribed, and an aPTT test was ordered.
1. Was TMs heparin order within the safe daily dosage range?
2. What are the various method of administering heparin?
3. Why was a aPPT test ordered? How would you determine whether TM is within the desire range? Explain your answer.
After 5 days of heparin therapy. TM was prescribed oral warfarin 5mg daily. An INR was ordered
4. What is the Pharmacology action of heparin? Is the warfarin dose within the safe daily dosage range? Explain your answer.
5. What are the half-life and protein binding for warfarin? If a patient takes a drug that is highly protein bound, would there be a drug interaction? Explain your answer.
6. Why was an INR ordered forTM? What is the desired range?
7. What serious adverse reactions could result with prolonged use or large doses of warfarin?
8. What patient teaching interventions should be the nurse include? List three interventions.
9. Months, later , TM has hematemesis. What nursing action should be taken?
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